720 PARADISE LN TEMP POLE PERMIT 11 CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J _ =" ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1904
Job Type: ELECTRIC ONLY
Description: ELECTRIC -TEMP POLE
Estimated Value:
Issue Date: 8/22/2016
Expiration Date: 2/18/2017
PROPERTY ADDRESS:
Address: 720 PARADISE LN
RE Number: 172376-0235
PROPERTY OWNER:
Name: WHW INVESTMENT MANAGEMENT LLC
Address: 1 INDEPENDENT DR STE 1600
GENERAL CONTRACTOR INFORMATION:
Name: MARCO ELECTRICAL CONTRACTORS
Address: 720 MILL CREEK RD OA BENJAMIN EDWARD SMITH
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd. Atlantic Beach, FL 32233
,(� -:PM
I ij}t 0904)247,-�b1"826 Fax (9p4) 247-5845 [
JOB ADDRESS: � a Q J '�U rQ( ] )�szQ L6,n,-Q- PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORKS
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
Residential(Maio)Service
0-100 amps 101-150amps 151-200amps amps 4 o Meters
Commercial(Main)Service
'.0-100 amps 101-150amps 151-200amps amps CTService amps
Conductor Type Size
Multi-Family(Main)Service
0-100 ampsI, OI-I50amps 151 200amps amps # of Unit Meters
.Temporary Pole Laamps
amps
SERVICE UPGRADE amps CTService amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101 200amps
Appliances: 0-30amps 31-100amps 101 200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors_Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plum)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other:
Permit becomes void if work docs not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of luws and ordinances governing this work will be complied with whether
specified or not The permit does not give aulhmity to violate the provisions ol'ani other slmc or local law regulation construction or the perlbmumce of
Property Owners Nams r 1hC' a Iu l try Phone Number
Electrical Company + Y� . 1-('l.1'i 100.1 Inn i111 Office PhonieCP+)`'3-a`35 Fax42�-'146144a-)
Co.Address: q 20 `(Y\k �l C-V-.ej`e� `�-c+ City State F) Zip - 1 1
License Holder(Print): State Certif ion/Registration# Z� 13 15
Notarized Signature ofLicense Holder L
y. Iiu'`NtLL.w CRAIG Swom a subscribed before me this day of�iA _ 20J
CJMMISSIUNM 16'I13J
�S/ I xviues.oann�" jp1a Signature of Notary Public �'&x "-Q-Q Q W